电话随访式延续性护理对冠心病患者二级预防非药物措施自我管理能力的影响

摘要

目的：探讨电话随访式延续性护理对冠心病患者二级预防非药物措施自我管理能力的影响。方法对某三级甲等医院心内科住院治疗的68例冠心病患者，按住院先后顺序分为干预组和对照组，各34例，2组患者在住院期间均常规给予健康教育，发放健康教育小册子，干预组出院后进行电话随访式延续性护理，包括戒烟限酒、合理饮食、体育锻炼及情绪控制等，干预时间12周，对照组不实施。结果电话随访式延续性护理干预后，干预组冠心病患者二级预防非药物措施自我管理能力、合理饮食、戒烟限酒、体育锻炼得分均高于对照组，差异有统计学意义（ P＜0．05），情绪控制得分虽有所提高，但差异无统计学意义（ P＞0．05）。结论对冠心病患者进行电话随访式延续性护理，有利于二级预防非药物措施的实施，能够帮助患者提高二级预防非药物措施的自我管理能力，建立健康的生活方式，情绪控制干预有待进一步加强。%Objective To probe into influence of telephone follow⁃up continuity of care on non⁃medicine measure of secondary prevention of patients with coronary heart disease.Methods 68 patients with coronary heart disease after discharge were regular followed up and carried out health education intervention.Life style score was investi⁃gated before and after intervention,including diet,no smoking,physical exercise and emotional control. Results Life style score was changed significantly except emotional control.Conclusion Telephone follow⁃up continuity of care on non⁃medicine measure of secondary prevention can improve life style. The intervention of emotional con⁃trol should be strengthened.